Third-degree burns are severe and require immediate, professional medical attention. You will likely notice dry/charred, white, yellow or bright red tissue. Although the severely burned area may not be blistered, it often is surrounded by blistered areas.

A burn wound is constantly changing, which sometimes makes it difﬁcult to determine the depth of the injury in the ﬁrst 2-5 days.

Burns are painful. Our goal is for your child to be as comfortable as possible. Let the burn team know if your child’s pain is not well controlled.

Burn first aid

Stop the burning process.

Run cool water over the burn.

Do not use ice directly on the burn wound.

Do not apply home remedies/ointments.

Cover the burn with a clean bandage or cloth.

Take Ibuprofen or Acetaminophen for pain.

Seek medical attention if needed.

Healing burns

A high protein diet is important for wound healing. Encourage foods such as milk, meat, eggs, yogurt, cheese, beans and peanut butter. Limit water, juices and junk food.

If the burn wounds heal within 14-21 days, the chance of scarring is minimal to none.

Lotion massage Once the skin is healed, you may begin to apply a non-perfumed lotion or moisturizer at least 4 times a day. Use a circular motion when rubbing the lotion into the skin. Massage the new skin with the lotion until you can no longer see the lotion. Lotion massage helps the skin be more elastic and smooth like uninjured skin, and also helps with itching.

Casting A cast will protect the injured extremity during the healing process, decrease the need for frequent dressing changes and allow the injury to heal in an optimal position. The cast must stay dry so patients should take sponge baths only. If the cast gets wet, the cast must be removed and a new cast applied. Call the Burn Nurse at Children’s Hospital Colorado to make these arrangements.

Garments Tight elastic garments may be used as a scar management tool. Custom pressure garments put constant, even pressure on the scar tissue, which results in improved texture and thickness of scars. If a pressure garment is recommended, it will be custom ordered by a physical or occupational therapist.

Home reference guide

Parents and caregivers can use the following information as a quick reference guide for treating burns at home.

Fever: A low grade fever of 99-100° is not uncommon. If your child’s temperature goes above 101.5° you should contact the Burn Program or your pediatrician to have your child evaluated.